Follow the steps to fill out the form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
2. Fill in the applicant's information (Wnioskodawca): input your first name, last name, correspondence address including street, house number, apartment number, and postal code.
3. Provide details of the person the application concerns, including their first name, second name, last name, gender (select either male or female), date of birth, country of birth, and country of residence.
4. Indicate the nationality or status of the individual, such as 'Polish,' 'stateless,' or 'other.' Include details of the last issued Polish passport if applicable, including the series, number, and validity date.
5. If applicable, provide information from travel documents or other identification proving identity and citizenship, including series, number, and validity date.
6. Fill out additional information about the applicant and their parents if available, including maiden name, place of birth, and details regarding the issued personal identification document.
7. Complete data concerning the marital status of the individual; specify if single, married, divorced, or widowed. If married, provide partner's first name, maiden name, and PESEL number if assigned.
8. If applicable, indicate any recent events affecting marriage status, such as marriage, divorce, or death of the spouse, along with relevant dates and details.
9. Select the method of receiving the PESEL number notification — in writing or electronically. If electronic, provide the relevant email address and ePUAP mailbox.
10. Specify the legal basis for acquiring a PESEL number, referencing the applicable regulation.
11. Sign and date the application at the designated areas, ensuring to indicate the locality and the date clearly.
12. After completing all sections, review the form for accuracy before saving your changes, downloading, printing, or sharing the document.

Complete your Wniosek O Nadanie Numeru Pesel online to ensure a smooth application process.